CENTRE' FOR COSMETIC DENTISTRY (NPI# 1669721452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669721452 |
| Entity Type | Organization |
| Organization Name | CENTRE' FOR COSMETIC DENTISTRY |
| Practice Address |
2824 Gillionville Rd Albany GA 31721-2904 |
| Mailing Address |
Po Box 72267 Albany GA 31708-2267 |
| Practice Telephone | 2298833443 |
| Practice Fax Number | 2298836755 |
| Mailing Telephone | 2298833443 |
| Mailing Fax Number | 2298836755 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | SONYA TAYLOR ACREE (OWNER) |
| Authorized Official Telephone | 2298833443 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011294 | GA | Dental Providers |
| Street Address |
2824 GILLIONVILLE RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| Find all providers in zip 31721 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860345 | Hickory St LLC | Dentist | 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 | 2020-01-17 |
| 1851945372 | Alaine Tay Shomali Prevish | Dentist | 409 1st Ave Nw, Albany, OR 97321-2227 | 2019-08-01 |
| 1053971028 | Richard Randall Mcneely | Dentist | 1725 Dawson Rd, Albany, GA 31707-3362 | 2019-06-20 |
| 1417438102 | David Levine | Dentist | 888 Western Ave, Albany, NY 12203-2532 | 2018-08-22 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1417290925 | Alexander Q Steres | Dentist | 1873 Western Ave Ste 200, Albany, NY 12203-5028 | 2013-04-03 |
| 1932447620 | Tina Jacob | Dentist | 5 Pine West Plz Ste 504, Albany, NY 12205-5587 | 2013-01-30 |
| 1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
| 1093094955 | Haseena Mohamed | Dentist | 979 Central Ave, Albany, NY 12205-3503 | 2011-08-10 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on CENTRE' FOR COSMETIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.